Shriram Life Insurance Company Limited

IRDAI No : 128

PROPOSAL DEPOSIT RECEIPT

Proposer Name: KULDEEP KAUR

Receipt No. : 500120240602723

W/O SAWINDER SINGH VILLAGE KHADUR SAHIB Proposal No. : 500124015844

PATTI LANMIA DE TARN TARAN Plan Name : SHRIRAM LIFE PENSION PLUS
V03

Khadoor Sahib :

Amritsar

Amritsar - 143117

PUNJAB - India

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Payment Details
By Cash 150000.00

Total 150000

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Received One Lakh Fifty Thousand rupees only

towards Proposal Deposit Receipt from the above

Kindly note that this receipt is only an acknowledgement for having received the amount as stated above and does not constitute acceptance of
risk cover under the proposal/policy

Tax Benefit as per the provisions of Income Tax Act 1961 subject to cheque realization and policy issuance.

Date & Time : 20/06/2024 22:29

Place : Hyderabad Main
The validity of the receipt is subject to realization of Cheque,in case the payment is made by cheque

Signature Of Cashier

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Regd office :5th Floor, Ramky Selenium,Plot No.31-32, Financial District ,(Beside Andhra Bank Training Center),Gachibowli,Hyderabad - 500032

Phone :040-23009400,Fax :. Toll Free No.: 1800-103-6116